Doctor profile · Federal record
Dr. Shane Kelly
Certified Registered Nurse Anesthetist · Registered Nurse · Royal Oak, MI
- NPI 1215629753
- 3 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
3601 W 13 Mile RD
Royal Oak, MI 480736712
(248) 898-5000 - Additional location
-
100 Michigan St Ne
Grand Rapids, MI 49503
(616) 364-4200
fax (616) 364-7347 - Additional location
-
3333 Evergreen Dr Ne
Grand Rapids, MI 49525
(616) 364-4200
fax (616) 364-7347 - Mailing address
-
3333 Evergreen Dr Ne
Grand Rapids, MI 495259493
Credentials & registration
- NPI registered
- May 2023 — 3 yrs on file
- Profile last updated
- October 20, 2024
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Michigan #4704329144
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215629753. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$67
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 2 | $36.15 | |
| Becton, Dickinson and Company | 1 | $30.52 |
By nature of payment
Frequently asked questions
What is Dr. Shane Kelly's medical specialty?
Dr. Shane Kelly practices Certified Registered Nurse Anesthetist in Royal Oak, MI.
Where does Dr. Shane Kelly practice?
Dr. Shane Kelly practices at 3601 W 13 Mile RD, Royal Oak, MI 480736712. Office phone: 2488985000.
What is Dr. Shane Kelly's NPI?
Dr. Shane Kelly's National Provider Identifier (NPI) is 1215629753, issued by NPPES.